Patient with anxiety at a neurologist’s appointment
DOI: 10.32364/2587-6821-2020-4-9-590-594
L.S. Chutko, S.Yu. Surushkina
Institute of the Human Brain of the Russian Academy of Sciences, Saint Petersburg,
Russian Federation
The article presents a review of scientific publications devoted to the study of the problem of anxiety disorders. The authors present modern views on the etiology and main pathogenesis mechanisms of normal and pathological anxiety. The article describes the most characteristic mental and somatic symptoms of generalized anxiety disorder. It also highlights the symptoms that are commonly a somatic manifestation of unconscious pathological anxiety. Special attention is paid to the most frequent somatic symptom of generalized anxiety disorders — headache, the largest share in the structure of which is tension headache. Modern methods for the pharmacological treatment and drugs that optimally affect the main clinical manifestations of the disease are considered. The methods of rational and cognitive behavioral therapy used in the treatment of anxiety disorders are also described. Adding that, the article notes the features of communication between a doctor and a patient with anxiety.
Keywords: generalized anxiety disorder, somatic symptoms of anxiety, tension headache, dizziness, non-benzodiazepine sedative hypnotics, aminophenylbutyric acid.
For citation: Chutko L.S., Surushkina S.Yu. Patient with anxiety at a neurologist’s appointment. Russian Medical Inquiry. 2020;4(9):590–594. DOI: 10.32364/2587-6821-2020-4-9-590-594.
Acknowledgment
Editorial Board is grateful to “Sotex” Pharm Firm” for the assistance in technical edition of this publication.
About the authors:
Leonid S. Chutko — Dr. of Sci. (Med.), Professor, Head of the Laboratory of Mental Development and Adaptation, Head of the Mental Development and Adaptation, Head of the Center for Behavioral Neurology, Institute of the Human Brain of the Russian Academy of Sciences: 9, Akademika Pavlova, Saint Petersburg, 197376, Russian Federation; ORCID iD 0000-0002-1065-9859.
Svetlana Yu. Surushkina — Cand. of Sci. (Med.), neurologist, Research Officer, Institute of the Human Brain of the Russian Academy of Sciences: 9, Akademika Pavlova, Saint Petersburg, 197376, Russian Federation; ORCID iD 0000-0001-9510-7182.
Contact information: Leonid S. Chutko, e-mail: chutko5@mail.ru. Financial Disclosure: no authors have a financial or property interest in any material or method mentioned. There is no conflict of interests. Received 18.09.2020, revised 02.10.2020, accepted 16.10.2020.
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